OA Supplemental Application

This application is considered supplemental information. For your application to be considered complete, you must also apply and using the SNAP Job system.

Name First Last
UTA Email Address

All communication will go through your UT Arlington student email address.
STUDENT 1000#:
CELL PHONE: * - (###) - ### ####
If no cell phone, input a contact number where you can be reached to set up an interview if selected.
BUILDING YOU CURRENTLY LIVE IN *
SEMESTERS LIVING ON CAMPUS*: *

*Only count Fall and Spring semesters living in a residence hall or apartment complex owned by UT Arlington
NET ID (Abc1234): *
SHIRT SIZE: *
Cumulative GPA as of today: *
Classification: *
Hours completed at UT Arlington: *
How many credit hours are you currently enrolled in? *

For Fall Semester (i.e. 12 hours)
If undergraduate, do you plan to attend graduate school at UTA? * Yes No Currently in graduate school
Expected Graduation Date: * / MM / DD YYYY
Major: *
Provide an example of a work or leadership experience that highlights your potential as an Office Assistant. *
Have you ever been subject to disciplinary action as a result of conduct violation of college/university standards or regulations? * Yes No
If yes, please explain:
List qualities that you possess that would make you an asset to the OA position: *
List qualities that you possess that would make you an asset to the staff *
List qualities that you possess that would make you an asset to the community: *
What do you hope to gain from your experience if you are selected as a Office Assistant? *
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge. I understand that willfully withholding information or making false statements in this application may be considered as sufficient cause for rejection of this application, or for dismissal if such false statement is discovered after my employment. I authorize you to contact references and former employers and release The University of Texas at Arlington from any liability pertaining to investigation of my former employment and police background check. I understand that if appointed, that initial appointment is conditional based upon results of required background checks.

By typing my name below, I understand that any offer of employment tendered me is contingent upon my agreement to abide by the rules and regulations of the Board of Regents of the University of Texas and UTA.
* I have read the OA Agreement located on the Job Opportunities page at www.uta.edu/livingoncampus and understand and agree to the responsibilities, requirements, and expectations of this position.
I understand the statements above: * First Last
Date * / MM / DD YYYY
Please upload your work-study eligibility form if you are work study eligible under your "Financial Aid" tab in your MyMav Account.

You must accept your work study amount and this form will show up in your MyMav account.